Effectiveness of wax therapy for diabetic peripheral neuropathy:a systematic review based on GRADE system
10.3760/cma.j.issn.1674-2907.2017.24.010
- VernacularTitle:基于GRADE系统的蜡疗治疗糖尿病周围神经病变的系统评价
- Author:
Yuting JIANG
1
;
Runxi TIAN
;
Yufang HAO
;
Liu HAN
;
Lijiao YAN
;
Junqiang ZHAO
;
Jinfang WANG
;
Qingya MA
;
Xuejing LI
;
Hailing GUO
Author Information
1. 100102,北京中医药大学护理学院 北京中医药大学加拿大安大略注册护士协会最佳实践指南研究中心(RNAO) 北京中医药大学JBI循证护理卓越合作中心
- Keywords:
Diabetic peripheral neuropathy;
Wax therapy;
Systematic review;
GRADE system
- From:
Chinese Journal of Modern Nursing
2017;23(24):3108-3113
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of wax therapy for diabetic peripheral neuropathy, in order to provide suggestions for treatment and prevention.Methods Cochrane Library, JBI, PubMed, EMbase, CBM, CNKI, WANFANG DATA, VIP were searched by computer from inception to October, 2016 for randomized control trails in wax therapy for diabetic peripheral neuropathy. Two researchers searched and selected articles independently and the quality was assessed in accordance with Cochrane Manual. The articles were analyzed with Review Manager 5.3, and the evidence quality was assessed with GRADE profiler 3.6.1 software.Results A total of 8 randomized controlled trials were included. The number of literature quality grade A of original research is 3, while the number of literature quality grade B of original research is 4,and the number of literature quality grade C of original research is 1. Meta-analysis showed that the sensory nervus peronaeus conduction velocities improved by wax therapy for diabetic peripheral neuropathy patients,[MD=2.51, 95%CI(1.35,3.66), P<0.01]. By the GRADE system grading, the evidence quality is moderate.Conclusions The effect of wax therapy for diabetic peripheral neuropathy can improve the sensory nurve conduction velocities and speed of blood circle, so as to prevent ulcer of diabetic feet. Therefore, the clinical curative effects of the therapy require large-sample and high quality studies to confirm.